Individual
MRS. VICKI BLACKWELL CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305
(910) 323-0334
Mailing address
3294 ALFORODO STREET, FAYETTEVILLE, NC 28306
(910) 423-8969
(910) 323-5171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
051503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051503
NC BOARD OF NURSING
NC
Enumeration date
11/09/2006
Last updated
07/08/2007
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